1. Observed walking without help of other person/using support
2. Observed walking with help of another person/using support
3. Not observed - in wheelchair
4. Not observed - bed bound
5. Not observed - uncertain if respondent has impairment

I WOULD LIKE TO TEST WHETHER YOU CAN WALK A VERY SHORT DISTANCE COMFORTABLY. (CAN I JUST CHECK,) ARE YOU ABLE TO WALK ALONE WITHOUT HOLDING ON TO ANOTHER PERSON (USING A WALKING STICK OR OTHER AID IF NECESSARY)?

______, I WOULD LIKE TO ASK A FEW QUESTIONS TO CHECK IT IS SAFE TO CARRY OUT THE TEST. DO YOU HAVE ANY PROBLEMS FROM RECENT SURGERY, INJURY, OR OTHER HEALTH CONDITIONS THAT MIGHT PREVENT YOU FROM WALKING?

THIS IS OUR WALKING COURSE. I WANT YOU TO WALK TO THE OTHER END OF THE COURSE AT YOUR USUAL WALKING PACE, JUST AS IF YOU WERE WALKING DOWN THE STREET TO GO TO THE SHOPS. WALK ALL THE WAY PAST THE OTHER END OF THE TAPE BEFORE YOU STOP. INTERVIEWER: DEMONSTRATE THE WALK FOR THE RESPONDENT. (I WILL WALK WITH YOU.) DO YOU FEEL THIS WOULD BE SAFE?

| If Interviewer recorded respondent status (MMSCHS) != 1. Observed walking without help of other person/using support and Interviewer recorded respondent status (MMSCHS) != 2. Observed walking with help of another person/using support »

I WOULD LIKE TO TEST WHETHER YOU CAN WALK A VERY SHORT DISTANCE COMFORTABLY. (CAN I JUST CHECK,) ARE YOU ABLE TO WALK ALONE WITHOUT HOLDING ON TO ANOTHER PERSON (USING A WALKING STICK OR OTHER AID IF NECESSARY)? - - - - - - - - - - - - - - - - - - - - - - - - - 1. Yes
2. Yes but aid unavailable
3. No

| If Interviewer recorded respondent status (MMSCHS) = 1. Observed walking without help of other person/using support or Interviewer recorded respondent status (MMSCHS) = 2. Observed walking with help of another person/using support or Ability to walk alone (MMALONE) = 1. Yes »

THIS IS OUR WALKING COURSE. I WANT YOU TO WALK TO THE OTHER END OF THE COURSE AT YOUR USUAL WALKING PACE, JUST AS IF YOU WERE WALKING DOWN THE STREET TO GO TO THE SHOPS. WALK ALL THE WAY PAST THE OTHER END OF THE TAPE BEFORE YOU STOP. INTERVIEWER: DEMONSTRATE THE WALK FOR THE RESPONDENT. (I WILL WALK WITH YOU.) DO YOU FEEL THIS WOULD BE SAFE? - - - - - - - - - - - - - - - - - - - - - - - - - 1. Yes
2. No